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Received: 24 September 2018 Accepted: 27 February 2019 Published: xx xx xxxx

Applications and limitations of fitting of the operational model to determine relative efficacies of agonists Jan Jakubík   1, Alena Randáková1, Vladimír Rudajev1, Pavel Zimčík1, Esam E. El-Fakahany2 & Vladimír Doležal1 Proper determination of agonist efficacy is essential in the assessment of agonist selectivity and signalling bias. Agonist efficacy is a relative term that is dependent on the system in which it is measured, especially being dependent on receptor expression level. The operational model (OM) of functional receptor agonism is a useful means for the determination of agonist functional efficacy using the maximal response to agonist and ratio of agonist functional potency to its equilibrium dissociation constant (KA) at the active state of the receptor. However, the functional efficacy parameter τ is interdependent on two other parameters of OM; agonist’s KA and the highest response that could be evoked in the system by any stimulus (EMAX). Thus, fitting of OM to functional response data is a tricky process. In this work we analyse pitfalls of fitting OM to experimental data and propose a rigorous fitting procedure where KA and EMAX are derived from half-efficient concentration of agonist and apparent maximal responses obtained from a series of functional response curves. Subsequently, OM with fixed KA and EMAX is fitted to functional response data to obtain τ. The procedure was verified at M2 and M4 muscarinic receptors fused with the G15 G-protein α-subunit. The procedure, however, is applicable to any receptor-effector system. The term “efficacy” is linguistically defined as the ability to produce the desired or intended effect. In pharmacological terms, efficacy means the ability of a chemical to produce a functional response in a cell, tissue or organ. Absolute quantification of efficacy is impossible. Thus, efficacy is rather described in relative terms, e.g. an agonist that produces a more robust maximal response than another is considered more efficacious. In this case the latter agent is described as a partial agonist. However, mere comparison of the magnitude of the maximal response maybe misleading. This is because the apparent maximal response to an agonist is not only a function of its efficacy, but is also dependent on the level of expression of the receptor and signalling entities. For example, a partial agonist may produce an apparent maximal response equal to that of a full agonist in a system with high efficiency of coupling of the receptor to intracellular signal transduction pathways. The relationship between agonist concentration and proportion of receptor occupancy is a mere function of agonist affinity for the given receptor. However, a gradual increase in receptor expression results in proportionally higher numbers (rather than relative proportion) of receptor-agonist complexes. A maximum response is eventually attained due to saturation of downstream effector systems. As a consequence, a partial agonist may reach the maximal response as a full agonist in a high receptor expression system. The potency of an agonist is a measure of the concentration required for exerting a certain level of biological activity, e.g. concentration required to produce its half-maximal effect (EC50). Using the same argument as above, a smaller fraction of receptors in a high expression system is needed to form the same number of receptor-agonist complexes. Thus, a lower concentration of agonist is required to produce the same response (i.e. increased “apparent” potency) at higher levels of receptor expression. Taken together, both observed maximal response and potency are system-dependent. A critical step in screening chemical libraries for new selective agonists is the proper determination of agonist activity that is system-independent. The same criterion is also needed to rule out that apparent agonist selectivity 1

Institute of Physiology CAS, 142 20, Prague, Czech Republic. 2Department of Experimental and Clinical Pharmacology, University of Minnesota College of Pharmacy, Minneapolis, MN, 55455, USA. Correspondence and requests for materials should be addressed to J.J. (email: [email protected])

Scientific Reports |

(2019) 9:4637 | https://doi.org/10.1038/s41598-019-40993-w

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Figure 1.  Fitting of operational model of agonism (OM) to theoretical concentration-response curves. Left: Simulated data for an agonist with log KA = −6.0 in 5 systems with coupling efficacy τ varying from 0.1 (black circles) to 1000 (cyan circles). Concentration-response curves were fitted to the simulated data according to Eq. (1). Right: Resulting apparent maximal responses (E’MAX) were plotted against resulting half-efficient concentrations (EC50). Maximal possible response of the system (EMAX) and affinity of agonist for receptor (KA) were obtained by fitting Eq. (6). Calculated EMAX and KA were used in fitting OM Eq. (1) to the data in the left graph (yellow lines)